Abstract:
BACKGROUND:The effect on component wastage after enhancing the clinician's ability to order blood products in the computerized physician order entry (CPOE) system was investigated in a multihospital network. METHODS:A novel field was added to the CPOE of eight hospitals within a health care system allowing the physician to reserve a red blood cell (RBC) unit for transfusion at a later time. Simultaneously, an electronic means of communication with the blood bank was implemented requiring the nurse to ensure that the patient was prepared for the transfusion before a product could be issued. The wastage rates in the 12 months after these electronic enhancements (Phase 2) was compared to the preceding 19 months of a non-CPOE-based waste reduction campaign (Phase 1) and to the 24 months before the campaign (baseline period). RESULTS:There were significant reductions in platelet (PLT) waste between the baseline period and Phase 1 (p < 0.05) and between Phase 2 and both Phase 1 and the baseline period (p < 0.05). The annual systemwide cost savings in wasted PLTs between the baseline period and Phase 2 was approximately $123,300. RBC waste was significantly reduced between Phase 2 and both Phase 1 and the baseline period (p < 0.05). Cryoprecipitate waste was reduced between Phase 2 and the baseline period (p < 0.05), while plasma waste did not change between the three periods. CONCLUSIONS:Implementing a multifaceted approach to waste reduction led to a significant reduction in wastage for RBCs, PLTs, and cryoprecipitate.
journal_name
Transfusionjournal_title
Transfusionauthors
Yazer MH,Deandrade DS,Triulzi DJ,Wisniewski MK,Waters JHdoi
10.1111/trf.13399subject
Has Abstractpub_date
2016-03-01 00:00:00pages
564-70issue
3eissn
0041-1132issn
1537-2995journal_volume
56pub_type
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